| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $150.50 | $155.02 | $422.58 | |
Cigna
| Professional | $150.50 | $150.53 | $297.45 | |
Quartz
| Professional | $237.66 | $358.05 | $511.50 | |
Quartz
| Facility | $823.03 | $823.03 | $823.03 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $150.50 | $155.02 | $422.58 | |
Cigna
| Professional | $150.50 | $150.53 | $297.45 | |
Quartz
| Professional | $237.66 | $358.05 | $511.50 | |
Quartz
| Facility | $823.03 | $823.03 | $823.03 |